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General NPI Number Information
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NPI Number | 1134449887
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Entity Type | Organization
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Legal Business Name | COMMUNITY WORKS
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Dates
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Enumeration Date | 06/04/2010
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Last Update Date | 06/13/2010
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Provider Practice Location Address
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Address Line | 4601 NE 48TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73121-6231
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Country | US
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Telephone | 405-570-6848
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Fax |
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Provider Business Mailing Address
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Address Line | 4601 NE 48TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73121-6231
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Country | US
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Telephone | 405-706-8480
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF COUNSELING
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Name | MR. JAMES ROBERSON
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Credential | LPC
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Telephone | 405-808-7377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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